Electrical Waiver Form
Customer Support
Uncategorised
05 August 2021
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Electrical Waiver Form
OWNER
Electrical Waiver # (office use only)
Electrical Contractor Name
Property Owner
Street Address
City
State/Province/Region
Postal/Zip Code
Email
Phone
ELECTRICIAN
Name
Phone
Scope of Work
Projected Start Date
APPLICANT
I understand that as no building permit is issued, no renovation, addition, alteration, new construction or change of use is to occur to the structure, building or equipment servicing the building for which the electrical equipment or wiring is being provided. This is not to be considered as zoning approval.
Yes
No
Firstname
Lastname
Date: (office use only)
By signing here, I agree that I will send an etransfer in the amount of $25 to info@vilsv.ca immediately after I hit submit or send payment to 1131 West Riverside Drive, Perth-Andover, NB, E7H 5G5. Failure to do so will result in this application not being processed.
Submit
BACK
Internal Office Use Only
Approved by
Conditions for approval
Permit #
Print